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/1 a <br />Dig itally Signed! by randne K <br />Francine R. Villareal Vlgareal <br />A`� CERTIFICATE OF LIABILITY INSURANCE I <br />DATE(MMIDDYYYY) <br />08/12/2021 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Bannister & Associates Insurance Agency <br />CA License #0691071 <br />17th Street <br />Huntington Beach CA 92648 <br />NAONEACT Rer M Makel <br />PHONE <br />(714) 536-6066 FAX <br />No:(714) 536-4054 <br />E-MAIL <br />DRE ker bai-ins.com <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURERA: Ohio securityInsurance Company <br />24082 <br />INSURED (949) 215-5539 <br />Barrios and Associate, LLC <br />INSURER B: Philade hia Indemnit Ins. Co. <br />18058 <br />INSURER C: American Fire and Casualty Co. <br />24066 <br />dba Communications Lab <br />701 R Chapman Avenue <br />INSURERD:Axis Insurance Company <br />37273 <br />INSURER E: <br />Orange CA 92866 <br />INSURER F: <br />- — --- ---"— ""—"" --- nQVIJIVIY NUlY16CR: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TYPE OF INSURANCE <br />AD L <br />UBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIVYYY <br />LIMITS <br />A <br />X <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />Y <br />y <br />DES (22) 56589875 <br />04/01/2022 <br />04/01/2022 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES Eaoccurte ce <br />$ 5001000 <br />NED EXP (my one emon) <br />$ 15,000 <br />PERSONAL& AOV INJURY <br />$ 11000,000 <br />GEML <br />AGGREGATE LIMIT APPLIES PER <br />POLICY E]JEo- Ex-1LOC <br />OTHER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANYAUOWNED <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />ED <br />AUTOS ONLY AUTOS ONLY <br />AUTO X NON SNNLY <br />BAD (22) 56589875 <br />04/01/2021 <br />04/01/2022 <br />FaMBctleO SINGLE LIMIT <br />$ 11000,000 <br />BODILY INJURY(Perpeman) <br />$ <br />BODILY INJURY (Per accident)HIRE <br />$ <br />X <br />PROPcciden(DAMAGE <br />$ <br />$ <br />C <br />A <br />UMBRELLA LIAR <br />EXCESSLIAB <br />X <br />OCCUR <br />CLAIM$ -MADE <br />NIA <br />I <br />SSA (22) 56589875 <br />XWS (22) 56589875 <br />04/01/2021 <br />04/01/2021 <br />04/01/2022 <br />04/01/2022 <br />EACH OCCURRENCE <br />$ 6000,000 <br />X <br />AGGREGATE <br />$ 61000, 000 <br />DIED I I RETENTION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNETEXECUTIVE <br />OFFICEMMEMBEREXCLUDED? ❑ <br />m (Mandaryln NH) <br />0 yes, describe grewE.L. <br />DESCRIPTION OF OPERATIONS below <br />_ <br />X STA uTE ERH <br />$ <br />E.L EACH ACCIDENT <br />$ 11000,000 <br />DISEASE - EA EMPLOYE <br />$ 11000,000 <br />E.L.DISEASE-POUCYLIMIT <br />$ 1, 000,000 <br />B <br />Professional Liability <br />PHSD1617461 <br />Deductible: $5, 000/claim <br />04/01/2021 <br />04/Ol/2022 <br />Limit (per <br />claim): <br />Limit (aggregate): <br />$ a,000, 000 <br />$ 4,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schetlule, may be attached Umore space is required) <br />City of Santa Ana and Santa Ana Police Department, its officers, officials, employees, and <br />volunteers are named as additional insureds (off -site and ongoing operations only) with respects <br />general liability policy limits. Primary and non-contributory wording applies with respects general <br />liability policy limits. Waiver of Subrogation applies with respects general liability policy <br />limits. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />REPRESENTATIVE <br />Santa Ana CA 92702 /DirL+ian <br />+" REAEWED&AnMIVECSY: <br />©1988-2015 ACORD C `II. . ,' ��Anr.Lnt P. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 19126=1 <br />Risk Management Analyst <br />Page 1 of 2 00 <br />